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5 UNITED STATES DISTRICT COURT 6 WESTERN DISTRICT OF WASHINGTON AT SEATTLE 7 8 CATHERINE B., 9 Plaintiff, Case No. C22-5046-SKV 10 v. ORDER REVERSING THE COMMISSIONER’S DECISION 11 COMMISSIONER OF SOCIAL SECURITY, 12 Defendant. 13 Plaintiff seeks review of the denial of her applications for Supplemental Security Income 14 and Disability Insurance Benefits. Having considered the ALJ’s decision, the administrative 15 record (AR), and all memoranda of record, the Court REVERSES the Commissioner’s final 16 decision and REMANDS the matter for a finding of disability. 17 BACKGROUND 18 Plaintiff was born in 1959, has a GED, and has worked as a mail-order sales 19 representative, retail salesperson, and Goodwill production associate. AR 437-38, 476-82. 20 Plaintiff was last gainfully employed in July 2017. AR 437. 21 In February 2018, Plaintiff applied for benefits, alleging disability as of December 31, 22 2015. AR 387-97. Plaintiff’s applications were denied initially and on reconsideration, and 23 1 Plaintiff requested a hearing. AR 237-40, 244-59. After the ALJ conducted a hearing in October 2 2019 (AR 45-97), the ALJ issued a decision finding Plaintiff not disabled. AR 204-29. 3 The Appeals Council granted Plaintiff’s request for review, and remanded to the ALJ for 4 further administrative proceedings. AR 232-34. The ALJ held another hearing in July 2021 (AR
5 98-133), and subsequently issued a decision finding Plaintiff not disabled. AR 15-35. 6 THE ALJ’S DECISION 7 Utilizing the five-step disability evaluation process,1 the ALJ found:
8 Step one: Plaintiff has not engaged in substantial gainful activity since the alleged onset date. 9 Step two: Plaintiff has the following severe impairments: degenerative disc disease of 10 the lumbar spine, degenerative joint disease, right hip bursitis, and major depressive disorder. 11 Step three: These impairments do not meet or equal the requirements of a listed 12 impairment.2
13 Residual Functional Capacity (RFC): Plaintiff can perform sedentary work with additional limitations: she cannot climb ladders, ropes, or scaffolds, but can occasionally 14 climb ramps and stairs. She cannot crawl, but can occasionally balance, stoop, kneel, and crouch. She should only occasionally use foot controls bilaterally. She can tolerate 15 occasional exposure to vibration and extremely cold temperatures. She can understand, remember, and apply detailed, but not complex, instructions. She cannot work in a fast- 16 paced production-type environment. She would need to frequently use a cane to ambulate. 17 Step four: Plaintiff can perform past relevant work. 18 AR 15-35. 19 The Appeals Council denied Plaintiff’s request for review, making the ALJ’s decision the 20 Commissioner’s final decision. AR 1-6. Plaintiff appealed the final decision of the 21 Commissioner to this Court. Dkt. 4. 22 23 1 20 C.F.R. §§ 404.1520, 416.920. 2 20 C.F.R. Part 404, Subpart P, App. 1. 1 LEGAL STANDARDS 2 Under 42 U.S.C. § 405(g), this Court may set aside the Commissioner’s denial of social 3 security benefits when the ALJ’s findings are based on harmful legal error or not supported by 4 substantial evidence in the record as a whole. Bayliss v. Barnhart, 427 F.3d 1211, 1214 (9th Cir.
5 2005). As a general principle, an ALJ’s error may be deemed harmless where it is 6 “inconsequential to the ultimate nondisability determination.” Molina v. Astrue, 674 F.3d 1104, 7 1115 (9th Cir. 2012) (cited sources omitted). The Court looks to “the record as a whole to 8 determine whether the error alters the outcome of the case.” Id. 9 Substantial evidence is “more than a mere scintilla. It means - and means only - such 10 relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” 11 Biestek v. Berryhill, 139 S. Ct. 1148, 1154 (2019) (cleaned up); Magallanes v. Bowen, 881 F.2d 12 747, 750 (9th Cir. 1989). The ALJ is responsible for evaluating symptom testimony, resolving 13 conflicts in medical testimony, and resolving any other ambiguities that might exist. Andrews v. 14 Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995). While the Court is required to examine the record
15 as a whole, it may neither reweigh the evidence nor substitute its judgment for that of the 16 Commissioner. Thomas v. Barnhart, 278 F.3d 947, 954 (9th Cir. 2002). When the evidence is 17 susceptible to more than one rational interpretation, it is the Commissioner’s conclusion that 18 must be upheld. Id. 19 DISCUSSION 20 The parties agree that the ALJ’s decision contains reversible error, but disagree as to the 21 proper remedy for the error. Plaintiff requests that the Court remand for a finding of disability 22 because, inter alia, evidence found persuasive by the ALJ, but not fully accounted for in the RFC 23 1 assessment, compels a finding of disability.3 The Commissioner contends that the record 2 contains ambiguities that must be resolved by the ALJ on remand, and suggests that the record 3 also raises serious doubt as to whether Plaintiff is disabled, and thus requests a remand for 4 further proceedings.
5 Before remanding a case for a finding of disability, three requirements must be met. 6 First, the ALJ must have “‘failed to provide legally sufficient reasons for rejecting evidence, 7 whether claimant testimony or medical opinion.’” Brown-Hunter v. Colvin, 806 F.3d 487, 495 8 (9th Cir. 2015) (quoting Garrison v. Colvin, 759 F.3d 995, 1020 (9th Cir. 2014)). Second, the 9 Court must conclude “‘the record has been fully developed and further administrative 10 proceedings would serve no useful purpose.’” Id. In so doing, the Court considers the existence 11 of “‘outstanding issues’” that must be resolved before a disability determination can be made. 12 Id. (quoting Treichler v. Comm’r of Soc. Sec. Admin., 775 F.3d 1090, 1105 (9th Cir. 2014)). 13 Third, the Court must conclude that, “‘if the improperly discredited evidence were credited as 14 true, the ALJ would be required to find the claimant disabled on remand.’” Id. (quoting
15 Garrison, 759 F.3d at 1021). And even if all three requirements are satisfied, the Court retains 16 flexibility in determining the proper remedy. Id. The Court may remand for further proceedings 17 “‘when the record as a whole creates serious doubt as to whether the claimant is, in fact, disabled 18 within the meaning of the Social Security Act.’” Id. 19 In this case, the parties agree that the first requirement is met. See Dkt. 11 at 3. The 20 Commissioner contends that the second requirement — no outstanding issues remain that must 21
22 3 Plaintiff argues that the case should be remanded for a finding of disability on additional grounds as well, but the Court need not address those because the basis discussed by the Court is sufficient to support 23 the Court’s conclusion. See PDK Labs. Inc. v.
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5 UNITED STATES DISTRICT COURT 6 WESTERN DISTRICT OF WASHINGTON AT SEATTLE 7 8 CATHERINE B., 9 Plaintiff, Case No. C22-5046-SKV 10 v. ORDER REVERSING THE COMMISSIONER’S DECISION 11 COMMISSIONER OF SOCIAL SECURITY, 12 Defendant. 13 Plaintiff seeks review of the denial of her applications for Supplemental Security Income 14 and Disability Insurance Benefits. Having considered the ALJ’s decision, the administrative 15 record (AR), and all memoranda of record, the Court REVERSES the Commissioner’s final 16 decision and REMANDS the matter for a finding of disability. 17 BACKGROUND 18 Plaintiff was born in 1959, has a GED, and has worked as a mail-order sales 19 representative, retail salesperson, and Goodwill production associate. AR 437-38, 476-82. 20 Plaintiff was last gainfully employed in July 2017. AR 437. 21 In February 2018, Plaintiff applied for benefits, alleging disability as of December 31, 22 2015. AR 387-97. Plaintiff’s applications were denied initially and on reconsideration, and 23 1 Plaintiff requested a hearing. AR 237-40, 244-59. After the ALJ conducted a hearing in October 2 2019 (AR 45-97), the ALJ issued a decision finding Plaintiff not disabled. AR 204-29. 3 The Appeals Council granted Plaintiff’s request for review, and remanded to the ALJ for 4 further administrative proceedings. AR 232-34. The ALJ held another hearing in July 2021 (AR
5 98-133), and subsequently issued a decision finding Plaintiff not disabled. AR 15-35. 6 THE ALJ’S DECISION 7 Utilizing the five-step disability evaluation process,1 the ALJ found:
8 Step one: Plaintiff has not engaged in substantial gainful activity since the alleged onset date. 9 Step two: Plaintiff has the following severe impairments: degenerative disc disease of 10 the lumbar spine, degenerative joint disease, right hip bursitis, and major depressive disorder. 11 Step three: These impairments do not meet or equal the requirements of a listed 12 impairment.2
13 Residual Functional Capacity (RFC): Plaintiff can perform sedentary work with additional limitations: she cannot climb ladders, ropes, or scaffolds, but can occasionally 14 climb ramps and stairs. She cannot crawl, but can occasionally balance, stoop, kneel, and crouch. She should only occasionally use foot controls bilaterally. She can tolerate 15 occasional exposure to vibration and extremely cold temperatures. She can understand, remember, and apply detailed, but not complex, instructions. She cannot work in a fast- 16 paced production-type environment. She would need to frequently use a cane to ambulate. 17 Step four: Plaintiff can perform past relevant work. 18 AR 15-35. 19 The Appeals Council denied Plaintiff’s request for review, making the ALJ’s decision the 20 Commissioner’s final decision. AR 1-6. Plaintiff appealed the final decision of the 21 Commissioner to this Court. Dkt. 4. 22 23 1 20 C.F.R. §§ 404.1520, 416.920. 2 20 C.F.R. Part 404, Subpart P, App. 1. 1 LEGAL STANDARDS 2 Under 42 U.S.C. § 405(g), this Court may set aside the Commissioner’s denial of social 3 security benefits when the ALJ’s findings are based on harmful legal error or not supported by 4 substantial evidence in the record as a whole. Bayliss v. Barnhart, 427 F.3d 1211, 1214 (9th Cir.
5 2005). As a general principle, an ALJ’s error may be deemed harmless where it is 6 “inconsequential to the ultimate nondisability determination.” Molina v. Astrue, 674 F.3d 1104, 7 1115 (9th Cir. 2012) (cited sources omitted). The Court looks to “the record as a whole to 8 determine whether the error alters the outcome of the case.” Id. 9 Substantial evidence is “more than a mere scintilla. It means - and means only - such 10 relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” 11 Biestek v. Berryhill, 139 S. Ct. 1148, 1154 (2019) (cleaned up); Magallanes v. Bowen, 881 F.2d 12 747, 750 (9th Cir. 1989). The ALJ is responsible for evaluating symptom testimony, resolving 13 conflicts in medical testimony, and resolving any other ambiguities that might exist. Andrews v. 14 Shalala, 53 F.3d 1035, 1039 (9th Cir. 1995). While the Court is required to examine the record
15 as a whole, it may neither reweigh the evidence nor substitute its judgment for that of the 16 Commissioner. Thomas v. Barnhart, 278 F.3d 947, 954 (9th Cir. 2002). When the evidence is 17 susceptible to more than one rational interpretation, it is the Commissioner’s conclusion that 18 must be upheld. Id. 19 DISCUSSION 20 The parties agree that the ALJ’s decision contains reversible error, but disagree as to the 21 proper remedy for the error. Plaintiff requests that the Court remand for a finding of disability 22 because, inter alia, evidence found persuasive by the ALJ, but not fully accounted for in the RFC 23 1 assessment, compels a finding of disability.3 The Commissioner contends that the record 2 contains ambiguities that must be resolved by the ALJ on remand, and suggests that the record 3 also raises serious doubt as to whether Plaintiff is disabled, and thus requests a remand for 4 further proceedings.
5 Before remanding a case for a finding of disability, three requirements must be met. 6 First, the ALJ must have “‘failed to provide legally sufficient reasons for rejecting evidence, 7 whether claimant testimony or medical opinion.’” Brown-Hunter v. Colvin, 806 F.3d 487, 495 8 (9th Cir. 2015) (quoting Garrison v. Colvin, 759 F.3d 995, 1020 (9th Cir. 2014)). Second, the 9 Court must conclude “‘the record has been fully developed and further administrative 10 proceedings would serve no useful purpose.’” Id. In so doing, the Court considers the existence 11 of “‘outstanding issues’” that must be resolved before a disability determination can be made. 12 Id. (quoting Treichler v. Comm’r of Soc. Sec. Admin., 775 F.3d 1090, 1105 (9th Cir. 2014)). 13 Third, the Court must conclude that, “‘if the improperly discredited evidence were credited as 14 true, the ALJ would be required to find the claimant disabled on remand.’” Id. (quoting
15 Garrison, 759 F.3d at 1021). And even if all three requirements are satisfied, the Court retains 16 flexibility in determining the proper remedy. Id. The Court may remand for further proceedings 17 “‘when the record as a whole creates serious doubt as to whether the claimant is, in fact, disabled 18 within the meaning of the Social Security Act.’” Id. 19 In this case, the parties agree that the first requirement is met. See Dkt. 11 at 3. The 20 Commissioner contends that the second requirement — no outstanding issues remain that must 21
22 3 Plaintiff argues that the case should be remanded for a finding of disability on additional grounds as well, but the Court need not address those because the basis discussed by the Court is sufficient to support 23 the Court’s conclusion. See PDK Labs. Inc. v. DEA, 362 F.3d 786, 799 (D.C. Cir. 2004) (“[I]f it is not necessary to decide more, it is necessary not to decide more.”) (Roberts, J., concurring in part and concurring in the judgment). 1 be resolved on remand — has not been met because the record contains some evidence that 2 undermines or fails to corroborate Plaintiff’s allegations, namely evidence of improvement with 3 treatment and unremarkable clinical findings. Dkt. 11 at 3. But the ALJ pointed to that same 4 evidence in discounting Plaintiff’s testimony (AR 27-28), and the Commissioner did not
5 explicitly defend the ALJ’s assessment of Plaintiff’s testimony in her motion to remand, even 6 though it was challenged by Plaintiff. Dkt. 10 at 13-16. An ALJ’s proper discounting of a 7 claimant’s allegations may indicate that the record contains ambiguities that should be resolved 8 on remand, but that is not the situation presented to the Court. See Dominguez v. Colvin, 808 9 F.3d 403, 409 (9th Cir. 2015) (“The ALJ’s well-supported credibility concerns raise additional 10 factual issues that require resolution.”). Given the Commissioner’s failure to defend the ALJ’s 11 reliance on this evidence in the current decision, the Commissioner has not adequately explained 12 why the ALJ should have yet another opportunity to rely on that evidence in further proceedings. 13 The Commissioner also contends that there are conflicts in the record pertaining to the 14 extent of Plaintiff’s physical and mental limitations that would preclude a finding of disability.
15 Dkt. 11 at 3. Specifically, the Commissioner contends that the opinion of an examining 16 psychologist regarding Plaintiff’s mental limitations conflicts with the opinion of a treating nurse 17 practitioner addressing Plaintiff’s physical limitations. Dkt. 11 at 3. These opinions do not 18 address the same conditions or limitations, and thus do not directly conflict. Compare AR 1205- 19 09 with AR 2370-71. That the Plaintiff does not challenge the ALJ’s assessment of the State 20 agency medical consultants, as the Commissioner emphasizes (Dkt. 11 at 3), does not suggest the 21 existence of a conflict in the record because the ALJ himself found that Plaintiff was more 22 limited than the State agency medical opinions described her to be. See AR 31-32. For these 23 1 reasons, the Commissioner has not identified conflicts in the record demonstrating that further 2 proceedings would be necessary. 3 The Court goes on to find the third requirement also satisfied because evidence that the 4 ALJ purported to credit undermines the ALJ’s step-four finding and instead compels a finding of
5 disability. The ALJ found that the State agency psychological opinions were persuasive, yet did 6 not include a crucial limitation to 1-3-step instructions that a State agency consultant imposed. 7 See AR 149. The ALJ mentioned the restriction to 1-3-step instructions in his summary of the 8 opinion (AR 32), but then failed to include it in the RFC assessment (AR 25) and did not, as 9 posited by the Commissioner (Dkt. 11 at 4-5), reasonably translate the opinion into RFC 10 restrictions consistent with the opinion. Instead, the ALJ simply omitted, without explanation, 11 the portion of the State agency psychological opinion that conflicted with the requirements of 12 Plaintiff’s past work as described by two vocational experts (VEs). See AR 32, 95, 131-32. The 13 ALJ also acknowledged at the hearing that if Plaintiff were limited to unskilled work (which the 14 VEs testified would be implied by a restriction to 1-3-step instructions), she would be found
15 disabled under the Medical-Vocational Guidelines. See AR 124. 16 Accordingly, the Court disagrees with the Commissioner that the State agency 17 psychological opinions “lend further support to the ALJ’s non-disability determination.” Dkt. 11 18 at 4. Instead, the ALJ’s crediting of the State agency psychological opinions directly undercuts 19 the ALJ’s ultimate non-disability conclusion because the ALJ’s own finding that the State 20 agency opinions are persuasive compels a finding of disability. The Court finds that Plaintiff has 21 shown that the three requirements for a finding of disability have been satisfied. 22 Although the Commissioner contends that the record raises serious doubt as to whether 23 Plaintiff is disabled (Dkt. 11 at 4), the Court disagrees. The Commissioner points to evidence 1 related to Plaintiff’s use of pain medication and activities, but neither of these examples raise 2 serious doubt about Plaintiff’s disability. That Plaintiff on one occasion in July 2018 reported 3 that she did not take pain medication every day (AR 1212) is not a reason to discount her 4 allegations, particularly because the Commissioner has not cited any evidence that Plaintiff was
5 instructed to take her pain medication every day, or that she claimed to require it every day. See, 6 e.g., AR 66-67, 112 (Plaintiff’s hearing testimony that her pain vacillated). 7 Furthermore, the ALJ’s list of Plaintiff’s activities referenced by the Commissioner (Dkt. 8 11 at 4) was found by the Appeals Council to be an inadequate basis to discount Plaintiff’s 9 testimony or medical opinions (AR 242), and yet the ALJ repeatedly listed those same activities 10 again in the current decision. See AR 29, 30, 31, 32. The Court finds that the activities listed do 11 not necessarily contradict an allegation of disability. Thus, the Court does not find that these 12 examples provided by the Commissioner raise serious doubts as to whether Plaintiff is disabled, 13 in light of the ALJ’s crediting of an opinion that compels a finding of disability. 14 Because all three requirements for a finding of disability have been satisfied, and the
15 Court does not have serious doubt as to whether Plaintiff is disabled, a remand for a finding of 16 disability is appropriate. 17 CONCLUSION 18 For the reasons set forth above, the Commissioner’s final decision is REVERSED and 19 this case is REMANDED for a finding of disability. 20 Dated this 15th day of July, 2022. 21 22 A 23 S. KATE VAUGHAN United States Magistrate Judge